Bae, D.D.S., L.L.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAE, D.D.S., L.L.C

Doing business as

Family Dentistry of Annapolis

Practice address

200 Forbes St
Suite 301
Annapolis, MD 21401-1538

Phone

(443) 603-9000

Fax

(443) 603-9010

NPI assigned

Dec 23, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jun Tae Bae, D.D.S

Title

Owner

Phone

(443) 603-9000

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Annapolis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1679961866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FORBES ST",
            "address_2": "SUITE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011538",
            "telephone_number": "443-603-9000",
            "fax_number": "443-603-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FORBES ST",
            "address_2": "SUITE 301",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011538",
            "telephone_number": "443-603-9000",
            "fax_number": "443-603-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAE, D.D.S., L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "TAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-603-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Annapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marinela Babich, DNP, CPNP-PC
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• Cortnee Lauren Badger
• Mark D Baganz, M.D.
• Chloe Bagwell
• Paulina Bahamondes, CRNP
• Arezoo A. Bahar, DDS
• Diane Bahr, LCPC

• General Practice Dentistry in Annapolis, MD
• Providers in Annapolis, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.